Organization
MARYLAND CVS PHARMACY, L.L.C.
Active
Other names
CVS Pharmacy #11063
Organization subpart
No
Provider details
NPI number
Authorized official
SUSAN COLBERT (SR. DIRECTOR, PAYER RELATIONS)
(401) 770-2751
Entity
Organization
Contact information
Practice address
723 N BRIDGE ST, ELKTON, MD 21921-5309
(410) 392-2961
Mailing address
1 CVS DR # 1075, WOONSOCKET, RI 02895-6146
(401) 765-1500
Taxonomy
Speciality
Code
Description
License number
State
3336C0003X
Community/Retail Pharmacy
Primary
P07670
MD
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
01636792
MD CORP
MD
05
—
031352100
—
MD
01
—
2101501
NCPDP
MH
01
—
52-0746210
FEIN
MD
Enumeration date
08/24/2006
Last updated
03/07/2023
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